Coleman, Charles

Coleman, Charles is an sole proprietor health care provider with primary practice located at 3712 Macarthur Blvd Suite 201, New Orleans LA 70114-6802. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Coleman, Charles can be contacted via phone (504) 361-3277.

Contact Information

Primary practice address
3712 Macarthur Blvd Suite 201 New Orleans LA 70114-6802
Phone: (504) 361-3277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5013 Louisiana
Dental Providers / General Practice 1223G0001X 5013 Louisiana

Profile Details

NPI number 1396911681
LBN Legal business name Coleman, Charles
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2008
Last updated Jun 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396911681 NPPES
Louisiana MEDICAID 1850136

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